Osorio GCM, Vázquez RFJ, Medrano PY

Language: Spanish
References: 0
Page: 76-77
PDF size: 372.24 Kb.

Text Extraction

A 65-year-old male patient, with a history of insulin-dependent diabetes mellitus, hypertension, ischemic heart disease and smoking, underwent a coronary angiography that showed proximal and distal lesions in the left anterior descending artery, and proximal in the diagonal branch (Panel A, arrows). It was decided to perform a coronary artery bypass graft surgery, on a beating heart, without the use of cardiopulmonary bypass. The left internal mammary artery (LIMA) was dissected, skeletonized, to obtain its maximum length and preserve sternal perfusion (Panel B, the left arrow shows the preserved mammary vein and the right arrow the skeletonized LIMA).